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Individual

PHILLIP CHARLES ELLIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RMT, CNMT

Contact information

Practice address
5740 N CAREFREE CIR, #140, COLORADO SPRINGS, CO 80917-2881
(719) 271-5237
Mailing address
5740 N CAREFREE CIR, #140, COLORADO SPRINGS, CO 80917-2881
(719) 271-5237

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4448
CO

Other

Enumeration date
03/12/2012
Last updated
03/12/2012
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